Scary stats for T2 in India and China

[Cowboyjim]

http://finance.yahoo.com/news/bristol-myers-squibb-foundation-announces-140000072.html
Good news for these hardest hit countries! 8)
"International Diabetes Foundation (IDF) reports that more than 90 million people in China – 9.3 percent of the population – had type 2 diabetes in 2011, the most of any country. That figure is projected to grow to 129.7 million, or 12.1 percent of the population, by 2030.
India, which has 61.26 million people diagnosed with type 2 diabetes (8.3 percent of the population), ranks second only to China in total cases and third behind the United States (10.9 percent) and China in terms of prevalence. By 2030, India will have 101.2 million people with type 2 diabetes, IDF projects."

 

[Paul1976]

The study blames sedantary lifestyles but surely the high carb proportion of their staple diet,eg Rice,has a large role to play in this? just a thought... :think:

 

[phoenix]

The study blames sedantary lifestyles but surely the high carb proportion of their staple diet,eg Rice,has a large role to play in this? just a thought... :think:

The epidemic of diabetes is a recent problem. Rice has been a staple food for thousands of years. Could there not be other reasons?
some suggestions in these articles.
http://www.bloomberg.com/news/2010-11-0 ... class.html
http://www.diabetes-india.com/template. ... +The+World

 

[Paul1976]

Just finished reading the 'Diabetes-India.com' article and have to say this particular quote from there is 'Bold' at best..."Further, Indians tend to be diabetic at a relatively young age of 45 years which is about 10 years earlier than in West. The life expectancy in a diabetic is just about 8 years after the onset of the disease, as they succumb to kidney as well as heart disease more often than others. This is indeed very alarming !. "
:think:

 

[phoenix]

Remember those figures are within an Indian context. Chronic illness in a country where most health care is provided by the private sector can rapidly deplete a families income sending them below the poverty line and even less access to health care
India has huge problems. They still have an infant mortality rate of 50%, 46% of children malnourished and they also have this o growing incidence of diabetes, heart disease and cancers
http://businesstoday.intoday.in/story/i ... 21039.html

 

[xyzzy]

Yes the figures are very scary.

The prevalence of Db and other non communicable diseases was debated at a global level at the UN back in September last year where several recommendations were adopted. That conference was the culmination of research done over the previous few years by a number of organisations. See here for the UN communique and links to the recommendations etc.

http://www.un.org/apps/news/story.asp?NewsID=39600&Cr=non+communicable+diseases&Cr1=

As far as I can see the UN is advocating that governments must take much more of a an interventionist stance such as was done in a Chinese study in 1997 that shows you can reverse the increase in T2D if you take an active interventionist approach.

The doc the conference was discussing can be seen here

http://www.un.org/en/ga/ncdmeeting2011/pdf/NCD_draft_political_declaration.pdf

 

[Cowboyjim]

Thanks for all the posts grim but fascinating reading.

IMHO "typical" Indian food if it is anything like the takeaways we have in the UK is incredibly bad for you. Not just the carbs in the rice but also in associated food such as naan bread etc. Ghee is used to cook the curries... probably plenty of salt.
Seldom do I ever eat takeaways these days.
My GP is of Indian extraction and he alludes to the link from hypertension to DM. HT can only be aggravated by such a diet.

 

[Cowboyjim]

http://www.nature.com/nature/journal/v485/n7398_supp/full/485S2a.html

The number of people living with, and dying of, diabetes across the world is shocking: 90 million Chinese live with diabetes and 1.3 million died in 2011; 23% of Qatari adults have developed diabetes. Here we chart the extent of the global epidemic and present some of the implications for national governments by Tony Scully.

http://www.nature.com/nature/journal/v485/n7398_supp/fig_tab/485S2a_F1.html

 

[xyzzy]

Ever tried the IDF's Interactive Diabetes Atlas?

http://www.idf.org/atlasmap/atlasmap

If you play around and filter for % of population with db and then do a comparison of just mostly westernised rich countries the winners (less %) are

1st Iceland
2nd Sweden
3rd Luxembourg
4th Norway

The UK is 11th

Not an expert on a countries eating habits but Iceland seems to be a LCHF country

Icelandic cuisine, the cuisine of Iceland, has a long history. Important parts of Icelandic cuisine are lamb, dairy, and fish, due to Iceland's proximity to the ocean. Popular foods in Iceland include skyr, hangikjöt (smoked lamb), kleinur, laufabrauð and bollur. Þorramatur is a traditional buffet served at midwinter festivals called Þorrablót and containing a selection of traditionally cured meat and fish products served with rúgbrauð (dense dark and sweet rye bread) and brennivín (an Icelandic akvavit). Much of the taste of this traditional country food is determined by the preservation methods used; pickling in fermented whey or brine, drying and smoking.
Modern Icelandic chefs usually place an emphasis on the quality of the available ingredients rather than age-old cooking traditions and methods. Hence, there is a number of restaurants in Iceland that specialise in seafood and at the annual Food and Fun chef's competition (since 2004) competitors create innovative dishes with fresh ingredients produced in Iceland. Points of pride are the quality of the lamb meat, seafood and (more recently) skyr. Other local ingredients that form part of the Icelandic chef's store include seabirds and waterfowl (including their eggs), salmon and trout, crowberry, blueberry, rhubarb, Iceland moss, wild mushrooms, wild thyme, lovage, angelica and dried seaweed as well as a wide array of dairy products.
Animal products dominate Icelandic cuisine. Popular taste has developed, however, to become closer to the European norm, and consumption of vegetables has greatly increased in recent decades while consumption of fish has diminished.[1] Fresh lamb meat remains very popular while traditional meat products, such as various types of sausages, have lost a lot of their appeal with younger generations.[citation needed]

As I've be saying for months the Sweden government actively promotes LCHF to its population...

http://translate.google.com/transla....kostdoktorn.se/expressens-100-sidor-om-lchf/

Coincidence?

 

[Cowboyjim]

Thanks for that, no I have not looked at that feature. To my eternal shame I know little of the diets of Nordic countries. But then again I have only visited Denmark and Sweden and that was years ago. Plus, I had to look up LCHF! Though I think in context it is easy to work out. It also alludes to one of my other threads re the DM situation v-a-v vegetarians.
My thoughts about Iceland are that maybe like Eskimos their diet is dictated by their environment and that they are further away from the agrarian (?) than us - our society has for centuries been based on carb production and refinement. They have to import wheat etc I would imagine. Theirs is more akin to our distant ancestors in the pre-farming days. Some say that the latter was what has led us on the path to DM... food for thought har har 8)

 

[phoenix]

If you play around and filter for % of population with db and then do a comparison of just mostly westernised rich countries the winners (less %) are
1st Iceland
2nd Sweden
3rd Luxembourg
4th Norway
The UK is 11th

I know you like the Scandinavians but I'm not sure that you can attribute Iceland's position in the league table on their traditional diet. The current diet in Iceland has been suggested to be one of the causes of a decline in deaths from heart disease (a drop of 80% between 1980 and 2006).

The National policy is based on the dietary goals where the reduction of saturated fat, mainly from milk and dairy products,
butter, lamb and margarine, is greatly emphasized. The food policy and the dietary goals have greatly influenced nutrition
education and awareness in the country. Icelandic food supply data clearly demonstrate the subsequent changes.
In the 1970s, the diet was characterized by high consumption of whole milk and dairy products, margarine, butter,lamb, mutton and fish. However, between 1980 and 2006 there was a 73% drop in whole milk and dairy consumption (from
238 kg/person/year to 64 kg/person/year) and the supply of lamb and mutton decreased by 50% (from 47 kg/person/year to
24 kg/person/year). The lamb supply has been replaced by other meat products, mainly poultry and pork. Further, the supply of margarines made from hydrogenated fats and used for cooking and baking, has plummeted by 73% (from 11.7 kg/person/year to 3.2 kg/person/year), the largest drop occurring in the 1990s,when the most significant drop in cholesterol was also seen. From the 1990s, the consumption of total fat in percent energy (E%)calculated from the food supply statistics has decreased from40E% to 36E% . But more importantly, the composition of the fat has also changed from more saturated and trans-fatty acids to cisunsaturated.[
32] In contrast, statins played a relatively small role
in lipid lowering at the population level for middle aged Icelanders
up until 2006.[33]
http://www.plosone.org/article/info%3Ad ... ne.0013957

The league table also seems to change rather strangely from year to year.
This chart from the OECD uses stats from the same source but the previous years edition. The order is quite different.Has it really changed that much in a year?
It is very difficult to know how true are the comparisons. The data included in the chart is said by the OECD to have been derived from studies covering a period of 1980-2009 so you may be comparing an earlier figure with a more recent one. On top of this

several countries: Canada, France, Italy, the Netherlands, Norway, Slovenia and the United Kingdom provide only self-reported data To account for undiagnosed diabetes, the prevalences of diabetes for the United Kingdom and Canada were multiplied by a factor of 1.5, in accordance with local recommendations (the United Kingdom) and findings from the United States (Canada), and doubled for other countries, based on data from other regional studies

http://www.oecd-ilibrary.org/sites/heal ... =text/html
The data cover both Type 1 and Type 2 diabetes. Data are age-standardised to the World Standard Population

 

[borofergie]

Isn't drawing bad conclusions from the diets of various nationalities how Ancel Keys got us into this whole "lipid hypothesis" mess in the first place?

 

[dawnmc]

Yep he didn't like what he saw so eliminated the countries that didn't agree with his hypothasis I believe.

 

[Cowboyjim]

The Diabetes 2025 Model for the U.S. projects a continuous and dramatic increase in the diabetes epidemic and makes it possible to estimate the potential effects of society-wide changes in lifestyle and healthcare delivery systems. Predictions for individual states and population subgroups are highlighted in an article published in Population Health Management, a peer-reviewed journal from Mary Ann Liebert, Inc., publishers. The article is available free on the Population Health Management website at http://www.liebertpub.com/pop.

 

[RoyG]

Seems the only people on a winner here are the pharmaceutical companies, Think I will sink what little money I have left from my low carb food diet buying expedition into shares you can't lose. :think: :think: :think:

 

[Cowboyjim]

Be careful... Google "the patent cliff" or some such, some big names are bricking it because several of their cash cows are coming to the end of their useful lives with little to replace them... 8)

 

[RoyG]

I don't think they are on the last $ yet somehow not when we are talking in billions of profit amazing really with such vast revenue's how little and slowly things progress in eliminating disease. I think a better return than banks.